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Books > Medicine > Clinical & internal medicine > Diseases & disorders > Infectious & contagious diseases
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Rheumatic Fever - A Guide to its Recognition, Prevention and Cure with Special Reference to Developing Countries (Paperback, Softcover reprint of the original 1st ed. 1981)
Loot Price: R1,460
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Rheumatic Fever - A Guide to its Recognition, Prevention and Cure with Special Reference to Developing Countries (Paperback, Softcover reprint of the original 1st ed. 1981)
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It has become commonplace to say that the decline of rheu matic
fever in Europe and North America has little, if any thing, to do
with medicine; but to conclude that efforts to control the disease
are futile would be an error leading to what could be termed public
health malpractice. The need for adequate treatment of patients
suffering from acute rheu matic fever or chronic rheumatic valvular
heart disease is obvious; but control also means prevention, and
here, too, the need is obvious, if only to lighten the burden on
health care, due especially to the treatment of patients with
advanced forms of the disease. The feasibility of and justification
for rheumatic fever control programmes in developing countries has
been often questioned. A co-operative study co-ordinated by the
World Health Organization has now demonstrated that systematic
prevention of rheumatic fever recurrences not only benefits the
patients concerned but also has economic advantages. Primary
prevention by systematic penicillin treatment of all streptococcal
throat infections is at present beyond the reach of many health
care systems, and anti-streptococcal vac cination is still in the
research phase. The mainstay of the combat against rheumatic heart
disease thus remains 7 RHEUMATIC FEVER secondary prevention - the
long-term monthly administ ration of penicillin injections to
identified patients. This requires, among other things, that
penicillin be available."
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